ATIF FAZAL RAHMAN SHAHNAWAZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054687

License Status

EXPIRED

Business

Title

First Name

ATIF

Middle

FAZAL RAHMAN

Last Name

SHAHNAWAZ

Business Name

ATIF FAZAL RAHMAN SHAHNAWAZ MD

Original Issue Date

08/11/2008

Effective Date

08/11/2008

Expiration Date

08/10/2011

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/30/2011